Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Marchawala, Shefali

Marchawala, Shefali was paid $927K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoMARCHAWALA, SHEFALI
HICKSVILLE, NY 11801
33aNPI1316144116assigned 06/27/2007
28Total paid$927K
24GClaims43,393
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#161 of 2,184
Median peer was paid$54K
This provider vs. median17×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,326$111K
20195,486$111K
20205,312$112K
20217,323$157K
20226,854$148K
20236,848$149K
2024incomplete6,244$139K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 5,234 5,221 $211K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 6,965 6,954 $145K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 1,756 1,269 $111K
D0274 Bitewings - four radiographic images 11% 5,232 5,227 $106K
D0230 Intraoral - periapical each additional radiographic image 7.6% 6,794 6,760 $70K
D0220 Intraoral - periapical first radiographic image 7.3% 7,223 7,156 $67K
D9990 7.0% 2,941 2,802 $64K
D1120 Dental cleaning, childProphylaxis - child 6.8% 1,989 1,982 $63K
D1208 Topical application of fluoride, excluding varnish 4.2% 3,471 3,463 $39K
D1351 Sealant - per tooth 1.4% 244 121 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.3% 234 159 $12K
D9110 <1% 638 636 $9K
3 more codes
D0210 Intraoral - complete series of radiographic images <1% 439 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 220 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 13 $926.31

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.